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CASE REPORT
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Volume 23	January - March 2007	Number 1
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Multiple fistula in ANO in an HIV Seropositive Patient
(The danger of stigmatisation)

Elusoji S.O.¹, Osime O.C.²

SUMMARY

A 45-year-old man presented with a nine-month history of recurrent discharge from the anal region. He also had a history of weight loss. Examination revealed multiple fistulas-in-ano. The patient initially refused an HIV screening test; but later agreed. The result revealed HIV positive. As a result of the stigmatization associated with the diagnosis, the patient bluntly refused to bring the wife for screening and that he was not going to inform the wife of his diagnosis. The patient discharged himself against advise and went to seek traditional ‘doctors’ herb. However, we were reliably informed that he died few months afterwards. The aim of this presentation is to highlight the degree to which stigmatization can influence patients’ decision regarding HIV/AIDS and to emphasize the role of adequate health education to create more awareness. This will minimize the morbidity and mortality associated with HIV/AIDS.

KEYWORDS: HIV seropositivity, stigmatization, multiple fistulas in ano.

Pak J Med Sci January - March 2007 Vol. 23 No.1  122-123

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1. Dr, Elusoji S.O
2. Dr. Osime O.C

1-2: Department of Surgery
University of Benin Teaching Hospital
UBTH Benin City,
Nigeria.

Correspondence:
Dr. Osime O.C.
Email: clementosime@yahoo.com

* Received for Publication: May 26, 2006
* Accepted: September 14, 2006

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